MR. GEORGE DEAN WILSON M.D. NPI 1437104114

NPI Information

NPI: 1437104114
Provider Name: MR. GEORGE DEAN WILSON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
105 WOODLAWN DRIVE
JOHNSON CITY, TN
ZIP 37602
Phone: (423) 928-6174
Get Directions

MR. George Dean Wilson, M.D. is a neurology psychiatry neurology in Johnson City, TN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MR. George Dean Wilson, M.D. NPI is 1437104114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 WOODLAWN DRIVE
JOHNSON CITY, TN
ZIP 37602-978
Phone: (423) 928-6174
Fax: (423) 926-2258

The enumeration date for this NPI number is 5/23/2006 and was last updated on 3/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD011166	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0140000775	OTHER		CIGNA
2	3168836	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	64796980	MEDICAID	KENTUCKY
4	B03309	MEDICARE UPIN
5	6196853	MEDICAID	VIRGINIA
6	0118991	OTHER	TENNESSEE	BCBS
7	130014480	OTHER	TENNESSEE	RR MEDICARE
8	7906816	MEDICAID	NORTH CAROLINA
9	1292658	OTHER		UMWA
10	A55508	OTHER		JOHN DEERE
11	164888600	OTHER	TENNESSEE	OWCP GROUP ID
12	B03305	MEDICARE UPIN
13	602005579	OTHER		PHP CARITEN
14	3168835	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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